A Review of Exercise Interventions for Fall Prevention in the Elderly

노인 낙상예방 운동중재 문헌분석 연구

  • Gu, Mee Ock (Department of Nursing, Gyeong Sang National University, Gerontological Health Research Center, Gyeongsang Institute of Health Science) ;
  • Jeon, Mi Yang (Department of Nursing, Kuekdong College) ;
  • Kim, Hee-Ja (Department of Nursing, Chong Ju National College of Science and Technology) ;
  • Eun, Young (Department of Nursing, Gyeong Sang National University, Gerontological Health Research Center, Gyeongsang Institute of Health Science)
  • 구미옥 (경상대학교 간호학과, 경상대학교 건강과학연구원 노인건강연구센터) ;
  • 전미양 (극동정보대학 간호과) ;
  • 김희자 (청주과학대학 간호과) ;
  • 은영 (경상대학교 간호학과, 경상대학교 건강과학연구원 노인건강연구센터)
  • Published : 2005.10.01

Abstract

Purpose: This study was done to suggest directions for developing exercise interventions for fall prevention in the elderly in Korea in the future, Method: Twenty five articles for fall prevention exercises were reviewed and analyzed. Result: $84.0\%$ of subjects were older adults age 65 and older living in the community. The most frequently performed interventions were lower limb strength and balance exercises together $43.3\%$, group exercise $70.0\%$, exercise 3 times/week $60.0\%$, 60 min per session $36.7\%$, duration of 12 weeks and 1 year $23.3\%$ each. The most frequently used outcome variables were static balance $84.0\%$, lower limb muscle strength $72.0\%$, dynamic balance $56.0\%$, and falls $56.0\%$. The effect of exercise interventions on fall prevention was inconclusive. Lower limb strength exercises with resistance were effective for increasing muscle strength. Balance exercises with various movements for balance were effective for increasing balance. Conclusion: Exercise interventions for fall prevention is recommended for older adults with risk factors of falling. The desirable type of exercise intervention is lower limb strength and balance exercise together.

Keywords

References

  1. American Geriatrics Society (2001). Guideline for the Prevention of Falls in Older Persons. J Am Geriatr Soc, 49(5), 664-672 https://doi.org/10.1046/j.1532-5415.2001.49115.x
  2. Carter, N. D., Kannus, P., & Khan, K. M. (2001). Exercise in the Prevention of Falls in Older People - Systemic Literature Review Examing the Rational and the Evidence. Sports Med, 31(6), 427-438 https://doi.org/10.2165/00007256-200131060-00003
  3. Cho, J. P., Pack, K. W., Song, H. J., Jung, Y. S., & Moon, H. W. (2001). Prevalence and Associated Factors of Falls in the Elderly Community. Korean J Prev Med, 34(1), 47-54
  4. Cho, K. C. (1996). A Study on the Risk Factors for Falls Among the Elderly. Unpublished master's thesis, Chungnam National University, Daejeon
  5. Choi, M. A., Jeon, M. Y., & Choi, J. A. (2000). Effect of Walk Training on Physical Fitness for Prevention in A home Bound Elderly. J Korean Acad Nurse, 30(5), 1318-1332
  6. Cumming, R. G. (2002). Interventions strategies and risk-factor modification for falls prevention: A review of recent intervention studies. Clin Geriatr Med, 18, 175-189 https://doi.org/10.1016/S0749-0690(02)00004-6
  7. Edwards, N., Cere, M., & Leblond, D. (1993). A Community based intervention to prevent falls at home. Community Health, 15(4), 51-65
  8. Eu, S. H., & Park, S. Y. (2000). Exercise Prescription. Seoul : Taegun
  9. Jeon, M. Y. (2001). Effect of the Fall Prevention Program on gait, balance and muscle strength in elderly women. Unpublished doctoral dissertation, Seoul National University, Seoul
  10. Kim, M. C. (2001). Effects of ankle muscle strengthening for preventing of falls in the elderly persons. Unpublished master's thesis, Korea National Sport University, Seoul
  11. Kim, M. C, Cho, H. K., Sunwoo, S., Kim, S. W., & Cho, H. J. (1999). Prevalence and Associated Factors of Fall Among the Elderly in Nursing Home. J Korean Geriatr Soc, 5(4), 29-38
  12. Lee, I. S., Chin, Y. R., Lee, D. O, Kim, Y. A., & Baek, K. A. (2001). Effect of Rhythmic Exercise Program to Elderly on Risk Factors of Fall Injury. J Korean Comm Nurs, 12(3), 600-608
  13. Lim, N. G., Shim, K. B., Kim, Y. B., Park, J. L., Kim, E. Y., Na, B. J., Kim, D. K., & Lee, M. S. (2002). A Study on the Prevalence and Associated Factors of Falls in Some Rural Elderly. J Korean Geriatr Soc, 6(3), 183-196
  14. Ministry of Health & Welfare (2001). 2000 Yearbook of health and welfare statistics, http://www.moha.go.kr
  15. Province, M. A., Hadley, E. C, Hornbrook, M. C, Lipsitz, L. A., Miller, J. P., Mulrow, C. D., Ory, M. G., Sattin, R. W., Tinetti, M. E., & Wolf, S. L. (1995). The Effects of Exercise on Falls in Elderly Patients - Preplanned Meta-analysis of the FICSIT Trials. JAMA, 273(11), 1341-1347 https://doi.org/10.1001/jama.273.17.1341
  16. Rubenstein, L. Z., & Josephson, K. R. (2002). The epidemiology of falls and syncope. In R. A. Kenny & D. O'Shea (eds.). Falls and Syncope in Eldely Patients. Philadelphia : W.B.Saunders Co
  17. Schoenfelder, D. P., & Van Why, K. (1997). A fall prevention educational program for community dwelling seniors. Public Health Nurs, 14(6), 383-390 https://doi.org/10.1111/j.1525-1446.1997.tb00308.x
  18. Sohng, K. Y., Moon, J. S., Kang, S. S., & Choi, J. H. (2001). The Survey of Activities and Fear of Falling in the Community Dwelling Elderly. J Korea Commu Health Nurs Acad Soc, 15(2), 324-333
  19. Steinberg, M., Cartwringt, C, Peel, N., & Williams, G. (2000). A sustainable programme to prevent falls and near falls in community dwelling older people : results of a randomised trial. J Epidemiol Community Health, 54(3), 227-232 https://doi.org/10.1136/jech.54.3.227
  20. Wu, G. (2002). Evaluation of the Effectiveness of Tai Chi for Improving Balance and Preventing Falls in the Older Population -A Review. J Am Geriatr Soc, 50(4), 746-754 https://doi.org/10.1046/j.1532-5415.2002.50173.x